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CMS recovery audits on hold as contractors wrestle big backlog
By Beth Kutscher | February 20, 2014 | Basic Web Basic Web Subscription Details
The CMS is winding down its recovery audit program with its current contractors, placing the program effectively on hold—perhaps for several months—while it awards new contracts. The pause could be tacit acknowledgment of the need to address issues with the program, a healthcare analyst said.
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Information
People to Watch in Politics in 2014
January 11, 2014
See a slideshow of the people most likely to change the healthcare landscape in 2014.
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Magazine
Outlook 2014: The year ahead in healthcare politics and policy
By Modern Healthcare | January 11, 2014 | Print Magazine Print Magazine Subscription Details
Uncertain insurance exchange enrollment. Tough state battles over Medicaid expansion. Potentially rising healthcare costs. Hoped-for relief from Medicare payment cuts for providers. Read predictions on these and other top issues and trends the industry faces in 2014.
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Magazine
Outlook 2014: Obamacare, SGR repeal, ICD-10 and payment cuts top the list of challenges for healthcare players in 2014
By Jessica Zigmond, Paul Demko and Virgil Dickson | January 11, 2014 | Print Magazine Print Magazine Subscription Details
This could be the make-or-break year for President Barack Obama's Patient Protection and Affordable Care Act, as hospitals, physicians, insurers, consumers and elected officials wonder whether it will meet its coverage expansion and cost-control goals or fall short of expectations.
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Magazine
Outlook 2014: Hospital leaders will keep pushing GOP-led states to expand Medicaid in 2014
By Virgil Dickson | January 11, 2014 | Print Magazine Print Magazine Subscription Details
Hospitals and other healthcare stakeholders will be closely watching how many of the 23 holdout states, if any, decide to expand Medicaid eligibility in 2014.
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Magazine
Outlook 2014: Newly insured may drive up 2014 spending, but delivery reforms may keep it in check
By Melanie Evans | January 11, 2014 | Print Magazine Print Magazine Subscription Details
This year, millions of newly insured Americans are expected to fuel faster growth in health spending, which has notably slowed since the Great Recession hit.
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Magazine
Outlook 2014: Feds could get more aggressive with False Claims Act in 2014
By Joe Carlson | January 11, 2014 | Print Magazine Print Magazine Subscription Details
As the imperative to clamp down on hospital spending grows, government investigators are likely to start wielding the False Claims Act even more aggressively than in the past.
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News
RAC appeals backlog cause for frustration
By Joe Carlson | January 10, 2014 | Basic Web Basic Web Subscription Details
Appealing bad decisions by Medicare's recovery audit contractors has never been easy. But the system has become so overloaded in recent months that some are calling it an administrative quagmire that is denying basic due process rights because it takes so long.
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Magazine
Outlook 2014: Not-for-profit hospitals | Pressure for revenue growth ... more patients expected ... smaller DSH payments ... value-based reimbursement
By Melanie Evans | January 04, 2014 | Print Magazine Print Magazine Subscription Details
Not-for-profit hospitals enter 2014 with continued pressure on revenue growth and operating margins. Not all will get through the year without a hit to their finances or the need for a partner, industry experts say.
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Magazine
Outlook 2014: For-profit hospitals | More cost-cutting ... acquisitions to build scale or diversify ... robust environment for IPOs
By Beth Kutscher | January 04, 2014 | Print Magazine Print Magazine Subscription Details
Publicly traded healthcare companies had another positive run in the stock market in 2013, as investors continued to be optimistic about healthcare reform. But to keep up the momentum, the chains will need to continue to make bold moves, particularly around consolidation.
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